Individual
DR. DOMINIQUE MICHAEL NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 626-7221
(520) 626-6943
Mailing address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 626-7221
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R3765
AZ
Other
Enumeration date
04/29/2022
Last updated
06/28/2023
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